| NPI | 1295998052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A116638) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT191141) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2011-04-30 |